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Third Party Reviewer jobs

Viewing 1 - 10 of 1,186 jobs

  • Case Manager PRN Work From Home RN Utilization Review

    HCA Healthcare - Richmond, VA

    Nursing or Healthcare Administration preferred or equivalent work experience. 3. Experience: InterQual experience required, minimum of one year. Acute care hospital experience preferred. Third Party Payer and Denial Management experience...

    2 days ago from HCA Healthcare

  • Clinical Denial Review Coordinator

    South Nassau Communities Hospital - Oceanside, NY

    other clinical guidelines. Requires a working knowledge of third party and managed care insurance coverage and regulations. Prior experience in a hospital quality management or insurance company utilization preferred. Position...

    30+ days ago from

  • FTC Facilitator/Third Party Reviewer-part time

    SCO Family of Services - Bedford, NY

    ## Description Promote permanency for children and youth in foster care by facilitating family participation in and bringing an independent perspective to service plan reviews. Support and promote strengths-based casework through Solution...

    30+ days ago from SCO Family of Services

  • Third Party Billing Assistant

    University of Houston - Houston, TX

    with federal regulations. Processes paperwork for third-party billing. Reviews patient files to determine ... Interfaces with faculty, students and patients regarding third-party billing. May perform cash management duties for...

    30+ days ago from University of Houston

  • Registrar Grand Strand (Part-Time 3rd Shift) - Parallon

    HCA Healthcare - Myrtle Beach, SC

    GENERAL SUMMARY OF DUTIES Responsible for timely and accurate patient registration. Interviews patients for all pertinent account information and verifies insurance coverage. DUTIES INCLUDE BUT ARE NOT LIMITED TO: * Interview patients at...

    2 days ago from HCA Healthcare

  • Pharmacy Third Party Claims Processing Coordinator - Department Specialist II

    Alb/sfy Company - Boise, ID

    a variety of complex duties related to auditing Third Party claims via POS and compliance related system ... Diploma Pharmacy Technician with ARx/PDX experience required Third Party/Managed Care experience Skills/Knowledge Requir...

    30+ days ago from TAOnline

  • Inventory Planner - (3rd shift)

    Coca-Cola Refreshments - Niles, IL

    Sales Centers. * Manage inventory levels to plan at a third party warehouse. * Review, monitor, and address full good inventory levels to minimixe potential out of stock risk to sales. * High level of customer service focus and reponse...

    9 days ago from Coca-Cola Refreshments

  • RN-PT-3rd Shift-Associate Degree

    Minneapolis, MN

    Job Title RN-PT-3rd Shift-Associate Degree Shift Type Third Shift Job Description The primary purpose of this ... transportation for residents and other third party services. Medication Administration Functions 1. Prepare and...

    25 days ago from Jofdav

  • Utilization Review RN, Care Coordination, Per Diem, Variable

    Baptist Health South Florida - Miami, FL

    by hospital, The Joint Commission, government and third party payor. Facilitates the communications between insurance companies, review agencies and physicians regarding inpatient pre-authorizations and admission. To identify delays in...

    2 days ago from Baptist Health South Florida

  • Utilization Management Analyst. EHM, Utilization Review, 8a-4:30p

    Emory Healthcare - Atlanta, GA

    Patient Care Team for response. Works with third party payor representatives as an organizational ... Services, physicians, Medical Records, Business Office and third party payors to facilitate appropriate lengths of stay...

    16 days ago from Emory Healthcare